OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1629432828 · Family Medicine Physician · Elizabethton, TN
Provider details
- NPI number
- 1629432828
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Kilgore, President(423) 915-5121
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1497 W Elk Ave
Suite 20
Elizabethton, TN 37643-2895
Phone: (423) 542-7400
Fax: (423) 542-7405
Approximate (ZIP-level) locationGet directions
Mailing address
1497 W Elk Ave
Elizabethton, TN 37643-2895
Other names (DBA / former)
- Doing business as
- Msmg Fm Elizabethton B
Registry dates
- Enumerated
- 2016-04-13
- Last updated
- 2016-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.